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What visual acuity can be expected after a implantation of a full range iol? I'm interested if one should be able to see a defined edge on objects, let's say a mountain ridge or just a fuzzy line.

Sir alcon clareon enhanced monofocal lens use the better quality? Sir give my answer?

Are you suppose to see good through the one eye you had cataract surgery on or do you need both eyes done. What if you need reading glasses after but have to hold what your reading real close to your nose with over the counter reading glasses. Maybe I'm still healing not sure. I do have some astigmatism. Unhappy right now though. I chose standard lens can't afford others due to bills and needing better income and car is old. I guess you would have to know my particular case to know for sure. Thank you. I found your videos interesting.

Thank you for this video! What lens do you recommend to diabetic patients?

Adjustable Lenses (LAL) - My Personal Experience - No prior issues and or surgery’s.. As someone in their 50s who still snowboards in the BC mountains (big falls, rapid impacts), weight trains (heavy) four days a week, and spends significant time working on my laptop and dual screens, it’s important for me to understand the nuances between the different IOLs. Also worth noting, that I have been deemed a candidate for the Light Adjustable Lens (LAL). Since then, I have been desperately seeking an alternative point of you regarding this technology. While it sounds groundbreaking at first, I’ve come across some significant concerns that I think more people need to hear about. Let’s uncover what I call “the dragon in the details” when it comes to this lens. The Adjustment Process: The Hidden Catch The adjustment process isn’t as simple as it sounds. Most surgeons start by setting both eyes to Plano, meaning they initially prioritize distance vision. Then comes the tweaking stage, which involves multiple UV light treatments to refine your vision. In my case, what wasn’t fully explained, or what I may have misunderstood, was how significant these tweaks can be. More specifically, some patients end up with mini-monovision, blended monovision, or even full monovision during these adjustments. Why? Because the adjustments can range anywhere from 0.25 diopters to 1.50 (or more) per eye. For anyone unfamiliar, monovision (not mentioned in your video) means one eye is optimized for distance while the other is set for near or intermediate vision. And here’s the kicker: Approximately 20-30 percent of patients struggle to adapt to monovision. Some can’t tolerate it at all, experiencing issues with depth perception, eye strain, and overall discomfort. This is definitely me, so no monovision! The Dragon in the Details: My Expectations vs. Reality For me, the biggest issue was not fully grasping how much the adjustments could impact the final outcome. Even with the adjustability that makes the LAL unique, achieving balanced vision across all distances, near, intermediate, and far, without glasses often means embracing some level of monovision if I understand correctly?? (Hopefully I’m wrong). Additionally, while the promise of adjustability sounds fantastic, the process can be tedious and involve multiple visits. You might find yourself chasing a vision (my concern) goal that feels elusive, all while unknowingly being nudged toward monovision, even if that wasn’t your original goal. The Alternatives: Are There Better Options? This brings up an important question: with so many advanced lenses and technologies available today, is the LAL really the best choice for most people? I’m currently also considering the Johnson & Johnson TECNIS Odyssey lens that you mentioned in this video. Interestingly, there are other concerns with multifocal that I am worried about besides aberration’s halos, glare, and contrast issues. Most importantly, there are some ophthalmologists, who have indicated that the majority of their colleagues requested monofocal lenses, ( very interesting ) rather than more advanced options like multifocals or the LAL. I’d love to hear your thoughts on why that might be and how this fits into the broader conversation about these newer lens technologies. Disclaimer My comments reflect my personal opinions and experiences as a candidate for the Light Adjustable Lens. It is not intended as medical or professional advice. The views shared here are based solely on my perspective as I navigate this process and may reflect misunderstandings or unique aspects of my experience. This content is not meant to advise others or make any claims regarding the safety, efficacy, or performance of any specific product. Always consult a licensed ophthalmologist or medical professional for personalized recommendations.

thank you

You did a Great Job explaining why I see halo's after my multifocal lens was implanted after my cataract surgery. I have the toric lens in the other eye. Although Im very happy about being able to see so much better than before. Thank you so much. 💓 I also had a Awesome Cataract surgeon. 👌🏽

The best description of Trifocal I have heard - subjective rather than marketing material

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The only people that I have talked with tells me far vision is the only way to go. This way readers for up close and perfect vision normally.

Great video. I have RLE surgery in a week and now I have serious concerns. I’m mildly myopic (-1.75) and have decent near vision. Distance vision (8ft to infinity) is my priority. So I’m not sure trifocals will give me this.

Hi Oleksii I suggest to you the video title's "blenging" should be "blending'.

Very good insight for patients.

I enjoyed this video.

Уж лучше так, чем ..не на русском

Would like video explaining softec iol

Informative video. Can you say a little more about what IOLs have the best light transmission? Are Toric OK? Are LAL good for high myopic cases? I have myopia approx -9 and (per your video) have moderately bad floaters since age 50ish that I tolerate. Not sure if it might make sense to treat the floaters first (replace vitreous or laser). Does vitreous replacement make sense overall to improve the fluid clarity for the bigger myopic eyes?

What about flickering light around the lens edge every time I move my eye. I see that along with an arcing shadow off to the side constantly unless I’m in a very dark environment. I’m 12 weeks out from IOL surgery and it isn’t getting any better.

Thanks for the video Oleksii! I am specially interested in this topic ;-)

Lal is not just a monofocal, It can be EDOF if it changed to myopic shift. Central part would be elevate makes SA

Many thanks for posting this! Great web site too. The more you know, the better the outcome.

Thank you for this video!

are premium iol MF an option for patient with controlled glaucoma? if so which lens for patient highly motivated to eliminate glasses for any task .

I had eye surgery at 62 with multi focal lens implants the only time I need glasses is for night driving otherwise far and near distance is good your advice is good

Needs subtitles in English

Well i am 75 years old, and i am not expecting miracles and getting back to my younger years vision. As long as getting the Mono Focal lenses in Nov 2024 make me see a little better in the distances and wear glasses for seeing things close I will be happy. Not expecting 2020 vision or how they work in different light conditions. All i can do expect a little better vision than what I see now.

Can you explain Posterior capsular opacification (PCO)aka secondary cataract after IOL replacement. I’ve read that type of material the IOL is made from may cause incidence of PCO. Hydrophobic vs hydrophilic lenses. Also risks of using Toric lenses. My astigmatism got worse after using a toric IOL.

Thank you. I had already come up with a list of questions to ask my surgeon and she just told me she was impressed with them

Lal went wrong!! The lens was perfect ( no adjustment needed) but one day after lok it ,distance gone!! No real answers . Told might be dry eye, mild film but not in 24 hours. Also, I can no longer drive at night. Help!!😢

Hi, is the neuroadaptive process easier for mini monovision with EDOF IOLs like Puresee or with trifocal lenses like Panoptix ? Thank you for your video 🙂

I’m very interested in your knowledge, however, I cannot discern certain words and the transcript is not correct as it has difficulties. So, am missing important points formation and it is frustrating for me

Been looking forward to this! Thank you.

You did not point out that you can get progressive eye glasses for reading or distance

How well do high hyperopic (say +5D or +6D) patients cope / adapt to the loss of magnification that their glasses used to provide after they have had cataract surgery?

I got this service from Sussex Premier Health Service Hastings England

Negetive points of technis eyehens

My Consultant discussed all of the above with me as part of the service and recommended what I should have and followed his advice and I now see much better than before. I did not have to ask anything as he brought all these points up

Well this video sounds all well and good, but most of us can't afford the high "out of pocket" costs for lenses since insurance only pays for the basic mono focal lenses and also does not pay for advanced laser surgery procedures, etc. here in the US. Kind of a bummer, but i guess we have to live with it and hope for the best.

Cant see how anybody would choose anything but the monofocul plus like the eyenhance jnj. The others above those seem to have prominent sideaffects to make people comment often on the net about halos, not crisp etc.

What brands are “enhanced iols” sir?

I still don’t understand the difference between extended depth of focus vs extended depth of field? Please explain

Totally worthless

Thanks for the info on Mono Focal lenses - That is what I am intending to get for both my eyes in November surgeries. I probably have some kind of astigmatism in my eyes, but not getting Toric lenses - insurance does not cover these Toric or enhanced lenses - which is kind of a bummer. I hope glasses can correct my astigmatism like it did before I had cataracts. I was also near sighted. Time shall Tell how it goes for me. Watching allot of You Tube videos.

Thank you for your videos. I have my cataract surgery consultation next week. I’ve been trying to educate myself as much as possible, so that I can have an intelligent discussion with my doctor. So many choices. I’m a professional truck driver and also drive at night. I have a mild astigmatism. It’s difficult to know which lens to pick. I’m not trying to be free of glasses , but I do want to minimize adverse side effects. At the same time, I don’t have a premium budget. But whatever is the best choice, is probably worth the costs.

It is now Oct 2024. Well, there maybe several choices of IOL Lenses, but for the majority of us that are retired and on Medicare and a Supplemental in the US, Lens and Surgery is only covered for the Mono-Focal type lenses. All the other Lenses/procedures are out of pocket costs and can be very expensive which I cannot afford. I am 75 years old and in the process of getting both eyes taken care of because of having Cataracts - right eye is worse than the left. I will probably go for the "Distance" Mono-Focal lenses and then wear glasses for seeing things closer to me. I have always been near sighted and wore glasses most my life. Right now I am not sure what the "Distance" Mono Focal lenses will give me. I go in for measurements on the 18th of Oct and will ask the Doctor what to expect with these lenses for both eyes.

Hi, appreciate your videos which helped me decide which IOL to choose, I went for an EDOF type (J&J TECNIS PureSee) very happy with my reading and overall vision Thanks 👍 🇬🇧

This super super super thank u so very much!!

Thank u kindly dly. Great explaination! Gratefu!

THank you for being honest about IOLs etc. Its refreshing. Similar advise is much needed for Laser eye surgery too. Not just a big sell from vendors.

If you had cataract surgery today, which lens or combination of lenses would you put on your eyes?